Evidence map›Paper›PMID 40512239›Full record

ArticleBasic research in cardiology2025

Direction-dependent contributions of cardiac myofilament networks to myocardial passive stiffness reveal a major disparity for titin.

Felix A Wagner, Christine M Loescher, Andreas Unger, Michel Kühn, Annika J Klotz, Ivan Liashkovich, Dominika Ciechanska, Hermann Schillers, Franziska Koser, Johanna K Freundt and 2 more

Abstract read
In one paragraph

Article in Basic research in cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Felix A WagnerInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany.
Christine M LoescherInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany.
Andreas UngerInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany.
Michel KühnInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany.
Annika J KlotzInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany.
Ivan LiashkovichInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany.
Dominika CiechanskaInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany.
Hermann SchillersInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany.
Franziska KoserInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany.
Johanna K FreundtInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany.
Anthony L HesselInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany.
Wolfgang A LinkeInstitute of Physiology II, University of Münster, Robert-Koch-Str. 27B, 48149, Münster, Germany. wlinke@uni-muenster.de.ORCID 0000-0003-0801-3773

Funding

Deutsche Forschungsgemeinschaft 454867250Deutsche Forschungsgemeinschaft LI 2157/3-1Deutsche Forschungsgemeinschaft LI 690/14-1Deutsche Forschungsgemeinschaft LO 2951/2-1IZKF Münster Li1/012/24
6 · The paper itself

Abstract

Progressive myocardial dysfunction in patients with heart failure often involves alterations in myocardial passive stiffness, yet the underlying mechanisms remain incompletely understood. While passive stiffness in the longitudinal direction has been extensively characterized via uniaxial tensile stretching of cardiac specimens, transverse stiffness has received far less attention despite its equal mechanical importance. In this study, we combined atomic force microscopy nanoindentation with stretching assays on myocardial preparations to quantify the relative contributions of the three myofilament networks - actin, myosin, and titin - to passive stiffness in both transverse and longitudinal orientations. We employed a transgenic mouse model in which titin's elastic springs contain a tobacco etch virus protease (TEVp) recognition site, enabling selective and acute titin cleavage upon TEVp treatment. Actin filaments were severed using a calcium-independent gelsolin fragment, and myosin filaments were dissociated by high-salt extraction. Along the longitudinal axis, titin accounted for over 50% of total passive stiffness in both cardiac fiber bundles and isolated cardiomyocytes across most physiological strain ranges, whereas actin contributed under 35% overall - and only 15-20% within the collagen-containing fiber bundles. In contrast, in the transverse axis, titin and actin each contributed approximately 20-26% of passive stiffness in cardiac slices under varying compression forces. The myosin-titin composite thick-filament network contributed ~ 55% longitudinally but only ~ 35% transversely. These results reveal pronounced, direction-dependent differences in myofilament contributions to myocardial passive stiffness, with titin exhibiting the greatest disparity. Our findings deepen our understanding of the myocardium's multidimensional mechanics and may inform therapeutic strategies to ameliorate pathological cardiac stiffening.

Indexed as

Actin CytoskeletonConnectinMyocardial ContractionMyocardiumMyocytes, CardiacMyofibrilsActinsAnimalsMaleMiceMice, TransgenicMicroscopy, Atomic ForceProtein KinasesActinsConnectinProtein Kinasestitin protein, mouseActinAtomic force microscopyMyocardiumMyosinPassive stiffnessTitin

Identifiers

PMID40512239
PMCPMC12325546

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.